PrednisoLONE (EENT)
Kelas obat: Agen Antineoplastik
Panganggone PrednisoLONE (EENT)
Inflamasi Ophthalmic
Meredakan gejala alergi lan inflamasi sing responsif kortikosteroid ing konjungtiva palpebra lan bulbar, kornea, lan segmen anterior globe (contone, konjungtivitis alergi utawa vernal, keratitis acne rosacea, superficial keratitis punctate, keratitis herpes zoster, uveitis, iritis, siklitis).
Pengobatan ciloko kornea, konjungtiva, lan scleral saka kimia, radiasi, utawa lara termal utawa penetrasi benda asing.
Infeksi Ophthalmic Bakteri
Digunakake kanggo sifat anti-inflamasi bebarengan karo terapi anti-infèksi sing cocok ing sawetara infeksi bakteri ing mripat; digunakake ing kombinasi tetep karo gentamicin sulfat, natrium sulfacetamide, utawa kombinasi neomycin sulfate lan polymyxin b sulfat nalika terapi kombinasi kasebut dituduhake. Yen kortikosteroid ophthalmic digunakake ing kombinasi karo anti-infèksi ophthalmic, nimbang keuntungan saka risiko. (Deleng Infeksi ing Cautions.)
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Carane nggunakake PrednisoLONE (EENT)
Administrasi
Administrasi Oftalmik
Olesake ing mripat minangka salep, larutan, utawa suspensi ophthalmic.
Ora kanggo injeksi.
Goyang suspensi sadurunge digunakake.
Singkirake kontaminasi wadhah persiapan.
Bisa nggunakake salep ing wayah wengi bebarengan karo nggunakake suspensi utawa solusi ing wayah awan kanggo nyuda frekuensi aplikasi sing dibutuhake karo formulir dosis cair.
Kanggo nambani kelopak mata, pasang ing mripat. , banjur nutup mripat lan gosok keluwihan menyang tutup lan pinggiran tutup.
Dosis
Kasedhiya minangka prednisolone acetate utawa prednisolone sodium fosfat, piyambak utawa ing kombinasi tetep karo anti-infèksi. Potensi prednisolon acetate preparat ditulis ing syarat-syarat uyah. Potensi preparat natrium fosfat ditulis ing syarat-syarat prednisolon fosfat utawa prednisolon natrium fosfat.
Pasien Pediatrik
Yen perbaikan ora kedadeyan sawise 2 dina, evaluasi maneh pasien kasebut.
Suwene terapi saka sawetara dina nganti pirang-pirang minggu; gumantung saka jinis lan keruwetan penyakit lan respon kanggo terapi. Ngindhari terapi jangka panjang. Aja mandheg prematur.
Nalika mungkasi terapi ing kahanan kronis, mboko sithik nyuda frekuensi dosis kanggo ngindhari eksaserbasi penyakit kasebut.
Infeksi Ophthalmic Bakteri Prednisolone Acetate 0,2% lan Sulfacetamide Sodium 10% Ophthalmic OintmentBocah ≥6 taun: Lebokake pita 1,25-cm menyang kantung konjungtiva mata sing kena 3-4 kaping dina lan sepisan utawa kaping pindho ing wayah wengi. Kurangi frekuensi dosis amarga infeksi saya mundhak.
Suspensi OphthalmicBocah ≥6 taun: 2 tetes menyang kantung konjungtiva saka mripat sing kena pengaruh saben 4 jam ing wayah awan lan sadurunge turu. Kurangi frekuensi dosis nalika infèksi saya mundhak.
Prednisolone Sodium Phosphate 0,25% lan Sulfacetamide Sodium 10% Solution OphthalmicBocah ≥6 taun: 2 tetes menyang kantung konjungtiva mata sing kena pengaruh saben 4 jam. Kurangi frekuensi dosis amarga infeksi saya mundhak.
Wong diwasa
Yen perbaikan ora kedadeyan sawise 2 dina, evaluasi maneh pasien.
Suwene terapi kisaran saka sawetara dina nganti sawetara minggu; gumantung saka jinis lan keruwetan penyakit lan respon kanggo terapi. Ngindhari terapi jangka panjang. Aja mandheg prematur.
Nalika mungkasi terapi ing kahanan kronis, mboko sithik nyuda frekuensi dosis kanggo ngindhari eksaserbasi penyakit kasebut.
Inflamasi Ophthalmic Prednisolone Acetate 0,12% utawa 1% Suspensi Ophthalmic1 utawa 2 tetes menyang kantung conjunctival saka mripat sing kena pengaruh 2-4 kaping saben dina. Sajrone 24-48 jam wiwitan, bisa nambah frekuensi dosis yen perlu.
Prednisolone Sodium Phosphate 0,125% utawa 1% Solusi OphthalmicKaping pisanan, gumantung saka keruwetan inflamasi, 1 utawa 2 tetes menyang kantung konjungtiva mata sing kena pengaruh nganti saben jam ing wayah awan lan saben 2 jam ing wayah wengi yen perlu. Yen respon sing apik diraih, nyuda frekuensi dosis dadi 1 tetes saben 4 jam lan banjur dadi 1 tetes 3 utawa 4 kaping saben dina.
Infeksi Ophthalmic Bakteri Prednisolone Acetate 0,5%, Neomycin Sulfate 0,35%, lan Polymyxin B Sulfate 10,000 unit. Suspensi Ophthalmic1 utawa 2 tetes menyang kantung conjunctival saka mripat sing kena pengaruh saben 3 utawa 4 jam, utawa luwih kerep kaya sing dibutuhake. Kanggo infeksi akut, bisa ditindakake saben 30 menit. Ngurangi frekuensi dosis nalika infèksi saya mundhak.
Kanggo nambani kelopak mata: 1 utawa 2 tetes menyang mripat sing kena pengaruh saben 3 nganti 4 jam. (Deleng Administrasi ing Dosis lan Administrasi.)
Prednisolone Acetate 0,6% lan Gentamicin Sulfate 0,3% Ophthalmic OintmentLebokna pita 1,25-cm menyang kantung konjungtiva saka mripat sing kena 1-3 kaping saben dina.
Suspensi OphthalmicKawitan 24-48 jam, nganti 1 tetes menyang kantung konjungtiva saka mripat sing kena pengaruh saben jam; salajengipun, 1 tetes kaping 2-4 saben dina.
Prednisolone Acetate 0,2% lan Sulfacetamide Sodium 10% Ophthalmic OintmentLebokna pita 1,25-cm menyang kantung konjungtiva mata sing kena pengaruh 3-4 kaping sajrone dina lan sepisan utawa kaping pindho ing wayah wengi. Kurangi frekuensi dosis nalika infèksi saya mundhak.
Suspensi Ophthalmic2 tetes menyang kantung konjungtiva mata sing kena pengaruh saben 4 jam ing wayah awan lan sadurunge turu. Ngurangi frekuensi dosis amarga infeksi saya mundhak.
Prednisolone Sodium Phosphate 0,25% lan Sulfacetamide Sodium 10%. Solusi Ophthalmic2 tetes menyang kantung conjunctival saka mripat sing kena pengaruh saben 4 jam. Kurangi frekuensi dosis amarga infeksi saya mundhak.
Populasi Khusus
Ora ana rekomendasi dosis populasi khusus ing wektu iki.
Pènget
Kontraindikasi
Pènget / PancegahanPènget
Efek Okular
Risiko glaukoma (kanthi karusakan ing saraf optik), cacat ing ketajaman visual lan lapangan sesanti, lan pembentukan katarak subkapsular posterior kanthi nggunakake kortikosteroid sing dawa. Gunakake kanthi ati-ati ing glaukoma amarga IOP bisa nambah.
Yen digunakake kanggo ≥10 dina, monitor IOP kanthi rutin sanajan ngawasi bisa uga angel kanggo bocah lan pasien sing ora kooperatif.
Ing kahanan sing nyebabake penipisan kornea utawa sclera, perforasi dilapurake kanthi nggunakake kortikosteroid topikal.
Panganggone kortikosteroid dosis dhuwur bisa nundha penyembuhan. Panganggone sawise operasi katarak bisa nundha penyembuhan lan nambah insiden pembentukan bleb.
InfèksiPanggunaan sing dawa bisa nyuda respon host lan kanthi mangkono nambah risiko infeksi okular sekunder.
Ing kahanan purulen akut ing mripat, kortikosteroid bisa nutupi infeksi utawa nambah infeksi sing ana. (Deleng Contraindications ing Cautions.)
Herpes SimplexPanganggone kortikosteroid ing perawatan saka infèksi herpes simplex liyane saka epithelial herpes simplex keratitis, kang kortikosteroid sing contraindicated, mbutuhake ati-ati banget; mikroskopi slit-lamp periodik penting.
Reaksi Sensitivitas
Sensitivitas SulfitSawetara formulasi prednisolon ngandhut sulfit, sing bisa nyebabake reaksi alergi (kalebu anafilaksis lan episode asma sing ngancam nyawa utawa kurang abot) ing individu tartamtu sing rentan.
Pancegahan Umum
Evaluasi Kondisi OkularResep awal utawa nganyari pesenan obat ngluwihi 8 g salep utawa 20 ml suspensi utawa solusi kudu diwenehake mung sawise pemeriksaan pasien kanthi bantuan pembesaran ( contone, biomikroskopi lampu irisan, pewarnaan fluorescein yen cocog).
Evaluasi maneh pasien yen perbaikan ora kedadeyan sawise 2 dina.
Infeksi JamurAplikasi kortikosteroid lokal jangka panjang sing digandhengake karo perkembangan infeksi jamur ing kornea. Coba kemungkinan infèksi jamur ing pasien kanthi ulcerasi kornea sing terus-terusan sing wis utawa sing nampa terapi kortikosteroid.
Panganggone Kombinasi TetepYen prednisolon asetat utawa prednisolon natrium fosfat digunakake ing kombinasi tetep karo gentamicin sulfat, natrium sulfacetamide, utawa kombinasi neomycin sulfate lan polimiksin B sulfat, nimbang ati-ati, pancegahan, lan kontraindikasi sing gegandhengan. karo agen concomitant (s).
Reepitelialisasi KorneaPanganggone salep ophthalmic bisa nyuda tingkat reepitelialisasi kornea.
Populasi Spesifik
KandhutanKategori C.
LaktasiOra dingerteni manawa administrasi ophthalmic topikal kortikosteroid bisa nyebabake penyerapan sistemik sing cukup kanggo ngasilake jumlah sing bisa dideteksi ing susu.
Ati-ati yen digunakake ing wanita sing nyusoni. Sawetara manufaktur nyaranake supaya wanita mandheg nyusoni utawa obat kasebut.
Panggunaan PediatrikAman lan khasiat preparat ophthalmic sing ngemot prednisolon asetat utawa prednisolon natrium fosfat ing kombinasi tetep karo natrium sulfacetamide sing ora ditetepake ing bocah-bocah <6 taun.
Keamanan lan khasiat prednisolon ophthalmic liyane (prednisolone natrium fosfat piyambak, prednisolone asetat piyambak utawa ing kombinasi tetep karo gentamicin utawa karo neomycin sulfate lan polymyxin B sulfate) ora ditetepake ing bocah-bocah umur apa wae.
Panggunaan GeriatrikOra ana bedane signifikan ing safety utawa khasiat relatif kanggo pasien sing luwih enom.
Efek Umum sing Saru
Tinggi IOP, rasa perih utawa kobong, penglihatan kabur, iritasi okular, sensasi benda asing.
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